Krista R Buchanan
Individual provider Active NPI Early Intervention Provider Agency · Effort, PA
NPI 1093109092 · NPPES record last updated Mar 27, 2015
Key facts
- NPI
- 1093109092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 3975912 (PA)
- Practice address
- 1002 Cub CT
Effort, PA 18330-8035 - Phone
- (570) 656-4047
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3975912 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecd Connections | Multi-Specialty | Past | Accepting new patients |
| Sped Consulting & Therapy | Multi-Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech/Language/Hearing Specialist/Technologist | 235500000X | 3975912 | PA | |
| Speech-Language Pathologist |
235Z00000X | 3975912 | PA | |
| Early Intervention Provider Agency | 252Y00000X | 3975912 | PA | Yes |
Addresses
Primary practice location
1002 Cub CT
Effort, PA 18330-8035
Mailing address
PO Box 961
Effort, PA 18330-0961
Phone (570) 656-4047
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0421880137-8 | Other | PA | PROFESIONAL INSURANCE POLICY NUMBER |
| 0421880137-8 | Other | PA | INSURANCE POLICY IDENTIFYING NUMBER |
Other providers in Effort, PA
- Jonathan R Anthony
- Apex Behavior Management LLC
- Breanna Billings
- Marykate Black
- Brookmont Healthcare Center LLC
- Cranford Group, LLC
- Diamond Healthcare at Brookmont LLC
- Ecd Connections
- Effort Pharmacy Inc
- George Waldenmayer LPC LLC
All providers in Effort, PA · Early Intervention Provider Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.